Tannenbaum, Mitchell
Tannenbaum, Mitchell is an individual health care provider with primary practice located at 425 Us Route 30 Suite 320, Dyer IN 46311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Tannenbaum, Mitchell can be contacted via phone (219) 864-0290.Contact Information
Primary practice address
425 Us Route 30 Suite 320
Dyer IN 46311
Phone: (219) 864-0290
Fax: (219) 864-0376
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070002363 | Illinois |
Profile Details
| NPI number | 1467592311 |
|---|---|
| LBN Legal business name | Tannenbaum, Mitchell |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Nov 23rd, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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